| NPI | 1427006337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2012032346) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 069486) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2024-04-12 |